Cherie Posted Tue 30th of September, 2014 10:34:38 AM
I am having difficulty finding the most accurate code for the surgery listed below: Excision of supra pubic mass greater than 10cm. Patient was prepped and draped. Using a marking pen, the outline of the indurated area was marked. This extended suprapubically to the right and an indurated area was also present on the scrotum which was also marked. Using a knife the skin was incised to encompass this entire area. Subsequently sharp and blunt dissection was used to remove any indurated tissue and the mass contained within. Once the mass was resected no indurated or firm tissue was palpable. Hemostasis was obtained. The horizontal length of the incision was more than 10cm and the incision also extended perhaps 10cm onto the right hemiscrotum. The wound was closed in multiple layers w/interrupted 3-0 vicryl.
SuperCoder Answered Wed 08th of October, 2014 00:33:16 AM
Thanks for your query.
The above information does not specify the nature of mass. There may be multiple causes of supra pubic mass that you should clarify with your provider. If it is a benign lesion or when the provider has not performed pathology to determine the nature of mass, you should use code 11406, Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter over 4.0 cm.